scholarly journals Postpartum Seizures: Cerebral Venous Sinus Thrombosis, Case Report

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Ahmed AAH ◽  
Keyword(s):  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Past History ◽  
Good Condition ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
High Grade Fever ◽  
Venous Sinus Thrombosis ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Cerebral venous sinus thrombosis is of rarity during pregnancy, and it is included in the differential diagnosis of a woman presenting with seizures during pregnancy and puerperium. Here we report a case of young lady who developed Cerebral Venous Sinus Thrombosis (CVST) 6 days after delivery, presented with a chief complain of loss of consciousness and high grade fever with recent past history of severe occipital headache and generalized convulsions, which progressed into left sided weakness. Magnetic Resonance Imaging (MRI) / Magnetic Resonance Venography (MRV) demonstrated filling defects at the right transverse and sigmoid sinuses. The patient was started on Enoxaparin and warfarin. The patient kept on improving gradually and was discharged after 24 days in a good condition.

scholarly journals Uncontrolled seizures resulting from cerebral venous sinus thrombosis complicating neurobrucellosis

2013 ◽  
Vol 04 (03) ◽  
pp. 313-316 ◽  
Author(s):  
Fardin Faraji ◽  
Farshid Didgar ◽  
Afsoon Talaie-Zanjani ◽  
Abolfazl Mohammadbeigi
Keyword(s):  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Good Condition ◽  
Complex Partial Seizure ◽  
Transverse Sinus ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Laboratory Assessment ◽  
Venous Sinus Thrombosis ◽  
High Doses

ABSTRACTCerebral venous sinus thrombosis is a rare form of stroke caused by thrombosis in venous sinuses of the brain. In this study, we reported on a patient with venous sinus thrombosis and brucellosis who presented with uncontrolled seizure despite being treated with anti-epileptic drugs at high doses. The case was a 33-year-old woman with a history of controlled complex partial seizure who presented with headache, asthenia, and uncontrolled seizure for one month. She was febrile and a brain CT scan indicated hemorrhagic focus in the left posterior parietal and the temporal lobe. Magnetic resonance imaging and magnetic resonance venography also proved venous sinus thrombosis in the left transverse sinus. Besides [In addition], a laboratory assessment confirmed brucellosis. Following the treatment with anti-coagulant, anti-brucellosis, and anti-epileptic agents, the patient was discharged in good condition with medical orders. Clinical suspicion and accurate evaluation of a patient′s history is the most important clue in diagnosis and treatment of brucellosis and cerebral venous sinus thrombosis, especially in uncontrolled seizure in patients who had previously been under control.

Cerebral venous sinus thrombosis

2014 ◽  
Vol 30 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Marcin Hartel ◽  
Ewa Kluczewska ◽  
Eliza Gancarczyk-Urlik ◽  
Krystyna Pierzchała ◽  
Karolina Bień ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Early Stage ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Magnetic Resonance Imaging Mri

Diagnostic imaging in cerebral venous sinus thrombosis poses difficulties due to the relatively rare incidence of this pathology and its usually inconclusive clinical and radiological symptoms. The preliminary examination is usually performed using computed tomography, whereas magnetic resonance imaging (MRI) provides better visualisation of the lesion. Computed tomography and magnetic resonance imaging angiography enable the characterisation of the blood flow in the pathologically affected vessels in more detail. Familiarity with the anatomic variations of the venous system and with the advantages and limitations of computed tomography/magnetic resonance imaging enables faster diagnosis of the pathology. This is significant for treatment, which, in many cases, can be efficient only if introduced at a sufficiently early stage.

Safety and Validity of Mechanical Thrombectomy and Thrombolysis on Severe Cerebral Venous Sinus Thrombosis

Neurosurgery ◽  
2013 ◽  
Vol 72 (5) ◽  
pp. 730-738 ◽  
Author(s):  
Guangwen Li ◽  
Xianwei Zeng ◽  
Mohammed Hussain ◽  
Ran Meng ◽  
Yi Liu ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Treatment Modality ◽  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Magnetic Resonance Venography ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
Digital Subtract Angiography

Abstract BACKGROUND: Although the majority of patients with cerebral venous sinus thrombosis (CVST) obtain an optimistic clinical outcome after heparin or warfarin treatment, there remains a subgroup of patients who do not respond to conventional anticoagulation treatment. These patients, especially younger people, as documented by hospital-based studies, have a high morbidity and mortality rate. OBJECTIVE: To verify the safety and efficacy of a dual mechanical thrombectomy with thrombolysis treatment modality option in patients with severe CVST. METHODS: Fifty-two patients diagnosed with CVST were enrolled and treated with mechanical thrombectomy combined with thrombolysis. Patients underwent urokinase 100 to 1500 × 103 IU intravenous sinus injection via a jugular catheter after confirming diagnoses of CVST by using either magnetic resonance imaging/magnetic resonance venography or digital subtract angiography. Information obtained on the patients included recanalization status of venous sinuses as evaluated by magnetic resonance venography or digital subtract angiography at admission, during operation, and at 3- and 6-month follow-up after treatment. RESULTS: The percentage of patients that showed complete and partial recanalization were 87% and 6%, respectively, after mechanical thrombectomy combined with thrombolysis treatment; 8% of the patients showed no recanalization. The modified Rankin Scale scores were 1.0 ± 0.9, 0.85 ± 0.63, and 0.37 ± 0.53 for discharge, and 3- and 6-month follow-up, respectively. A total of 6 patients died despite receiving aggressive treatment. No cases of relapse occurred after 3 to 6 months of follow-up. CONCLUSION: Thrombectomy combined with thrombolysis is a safe and valid treatment modality to use in severe CVST cases or in intractable patients that have shown no adequate response to antithrombotic drugs.

scholarly journals Diagnosis and Management of Lemierre’s Syndrome Presented with Multifocal Pneumonia and Cerebral Venous Sinus Thrombosis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Yasar Sattar ◽  
Ammu Thampi Susheela ◽  
Bibek Karki ◽  
Adnan Liaqat ◽  
Waqas Ullah ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Fusobacterium Nucleatum ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Jugular Vein Thrombosis ◽  
Lemierre Syndrome ◽  
Venous Sinus Thrombosis ◽  
Vein Thrombosis ◽  
Cerebral Sinus Venous Thrombosis ◽  
Magnetic Resonance Imaging Mri

A 27-year-old female patient initially presented with fever, myalgia, sore throat that progressed to multifocal pneumonia, and cerebral sinus venous thrombosis. A combination of upper respiratory symptoms with tooth infection, positive blood culture for Fusobacterium nucleatum, computed tomography (CT) chest finding of multifocal pneumonia, and magnetic resonance imaging (MRI) finding of internal jugular vein thrombosis (IJVT) and cerebral venous sinus thrombosis (CVST) suggested Lemierre syndrome. The patient was managed with fluids, antibiotics, and anticoagulants. The patient survived and discharged from the hospital. The patient’s symptoms improved at 2 months of follow-up.

Republished: A novel combined approach using a Penumbra catheter and balloon catheter for cerebral venous sinus thrombosis

2018 ◽  
Vol 11 (9) ◽  
pp. e6-e6
Author(s):  
Yoshikazu Matsuda ◽  
Yoshihiro Owai ◽  
Koji Kakishita ◽  
Naoyuki Nakao
Keyword(s):  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Balloon Catheter ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Dramatic Improvement ◽  
Combined Approach ◽  
Venous Sinus Thrombosis ◽  
Inflated Balloon ◽  
The Right

Cerebral venous sinus thrombosis is sometimes fatal. We describe a case of sinus thrombosis in a 43-year-old woman presenting with generalized seizure, delirium, and a 2 week history of headache and nausea. The patient underwent mechanical thrombectomy using a novel combined approach, in which a Shouryu HR balloon catheter (Kaneka) was anchored in the right transverse sinus (TS), sigmoid sinus (SS), and superior sagittal sinus (SSS), while a Penumbra 5 MAX ACE (Penumbra) catheter was moved back and forth between the right TS, SS, and SSS. Additionally, back and forth movement of the inflated balloon with aspiration—the so-called ‘dental floss technique’—was performed. Partial recanalization was eventually obtained. Follow-up angiography on postoperative day 7 showed a dramatic improvement in venous outflow. The patient was transferred to a rehabilitation hospital on postoperative day 42. We describe our combined approach using aspiration, and Penumbra and balloon catheters, to achieve mechanical thrombectomy for sinus thrombosis.

Zakrzepica żył i zatok mózgowia – opis przypadku

2017 ◽  
pp. 8
Author(s):  
Mariusz Wachowski
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Sinus Thrombosis ◽  
Venous Sinus ◽  
Susceptibility Weighted Imaging ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Dural Venous Sinus ◽  
Magnetic Resonance Imaging Mri ◽  
Dural Venous Sinus Thrombosis

Tło. Zakrzepica zatok żylnych (dural venous sinus thrombosis – DVST) stanowi istotny i trudny problem diagnostyczny ze względu na mało specyfi czny obraz kliniczny oraz zróżnicowaną dynamikę objawów. Celem niniejszego opisu przypadku jest uzasadnieniemożliwości wykorzystania sekwencji zależnej od podatności magnetycznej (susceptibility-weighted imaging – SWI) w skutecznym rozpoznawaniu DVST oraz w różnicowaniu jej potencjalnych powikłań. Opis przypadku. 38-letnia pacjentka została przyjęta do kliniki neurologii z powodu silnego bólu głowy z następczą utratą przytomności. Przy przyjęciu wykonano przeglądową tomografi ę komputerową (TK) głowy. Uzyskane obrazy oceniono jako prawidłowe. W 6. dobie hospitalizacji ze względu na nagłe pogorszenie stanu klinicznego oraz podwyższone wartości D-dimerów przeprowadzono jednofazowe badanie metodą rezonansu magnetycznego (magnetic resonance imaging – MRI). Stwierdzono poszerzenie zatoki strzałkowej górnej oraz obecność skrzepliny na odcinku około 55 mm. Ponadto w sekwencji FLAIR oraz T2-zależnej stwierdzonoobszary patologiczne w zakręcie zaśrodkowym. W związku z podejrzeniem wystąpienia zawału żylnego przeprowadzono sekwencję SWI, co pozwoliło na jego wykluczenie. Ustalono rozpoznanie przekrwienia żylnego. Wnioski. Analiza obrazu w sekwencji SWI pozwoliła na jednoznaczne wykluczenie udaru krwotocznego i umożliwiła kontynuowanie terapii przeciwzakrzepowej.

scholarly journals Cerebral Venous Sinus Thrombosis following Diagnostic Curettage in a Patient with Uterine Fibroid

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Xiao-Qun Zhu ◽  
Li Cao
Keyword(s):  
Magnetic Resonance ◽  
Uterine Fibroid ◽  
Sinus Thrombosis ◽  
Brain Magnetic Resonance Imaging ◽  
Diagnostic Technique ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Deficiency Anemia ◽  
Venous Sinus Thrombosis ◽  
Convulsive Seizures

Cerebral venous sinus thrombosis (CVST) is a relatively rare cerebrovascular disease, of which the risk has been documented in patients with numerous conditions. However, CVST has never been previously described in association with the use of a diagnostic curettage in patient with uterine fibroid. Herein, we described a 43-year-old woman who presented with recurrent convulsive seizures and severe and progressive headache 1 day after a diagnostic curettage of the uterus, which was confirmed to be uterine fibroid pathologically later, and her condition subsequently progressed to confusion. Brain magnetic resonance imaging (MRI) revealed an acute extensive thrombosis of the left transverse and sigmoid sinus and the ipsilateral cerebellum infarction. Evaluation for primary thrombophilia revealed that an iron deficiency anemia (IDA) due to the fibroid bleeding induced menorrhagia together with a diagnostic curettage might be the sole hypercoagulable risk factor identified. Treatment with anticoagulation led to full recovery of her symptoms and recanalization of the thrombosis was proven on magnetic resonance venography (MRV) 2 months later. We suggest that CVST should be recognized as a potential complication related to this diagnostic technique, especially in patient with IDA. The early diagnosis and timely treatment would be of significance in improving the prognosis of this potentially lethal condition.

scholarly journals HUBUNGAN KADAR D-DIMER DENGAN AWITAN GEJALA DAN LAMA PERAWATAN PADA PENDERITA CEREBRAL VENOUS SINUS THROMBOSIS DI RSUP DR HASAN SADIKIN BANDUNG

2020 ◽  
Vol 37 (2) ◽  
Author(s):  
Lisda Amalia ◽  
Adnin Nugroho
Keyword(s):  
Computed Tomography ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Length Of Stay ◽  
Computed Tomography Angiography ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Venous Sinus Thrombosis ◽  
D Dimer

CORRELATION BETWEEN D-DIMER LEVEL WITH ONSET OF SYMPTOMS AND LENGTH OF STAY IN CEREBRAL VENOUS SINUS THROMBOSIS PATIENTS AT HASAN SADIKIN HOSPITAL BANDUNGABSTRACTIntroduction:Cerebral venous sinus thrombosis (CVST)is one of a cerebrovascular disease with a diverse and elusive clinical presentation. Diagnosis is often challenging due to limitation in diagnostic tools.Coagulation disorder is one of the risk factor for CVST that can be seen from D-dimer level which tends to increase in CVST patients.Aim: This study aims to determine the D-dimer leveland its correlation with onset of symptoms and length of stay in CVST patients at Hasan Sadikin Hospital, Bandung.Methods: This is a cross-sectional study. The inclusion criteria were patients at Hasan Sadikin Hospital, Bandung diagnosed as CVST, confirmed by digital subtraction angiography (DSA) or computed tomography angiography (CTA) or magnetic resonance angiography (MRA) and had blood coagulation profile in the period of January 2018-May 2019. Exclusion criteria were patients with infection or sepsis. Data were collected from the patient’s medical record. Statistical value was calculated with Spearman rank test, p value<0.05 was considered significant.Results: Forty CVST patients met the criteria. CVST mostly occurred in women (80%), the mean age were 40,75 years, and had headache as primary symptom (70%). Twenty-eight(70%) patients had increased level of D-dimer. D-dimer level had negative correlation with onset of symptoms (r=-0.319, p=0.045). However, it hadassociationwith length of stay (p=0.012).Discussion: D-dimer level in CVST patients tends to increase above normal value. D-dimer level have correlation with onset of symptoms and length of stay in CVST patients.Keywords:Cerebral venous sinus thrombosis, D-dimer level, length of stay, onset of symptomsABSTRAK                          Pendahuluan: Trombosis pada vena serebral (cerebral venous sinus thrombosis/CVST) merupakan salah satu diagnosis dalam bidang cerebrovaskular yang sulit ditegakkan karena keterbatasan alat untuk diagnosis pasti. Salah satu faktor risiko terjadinya CVST adalah kelainan koagulasi yang dapat dilihat dari kadar D-dimer yang cenderung meningkat.Tujuan: Mengetahui gambaran profil D-dimer pada penderita CVST dan hubungannya dengan awitan gejala dan lama perawatan di RSUP Dr. Hasan Sadikin, Bandung.Metode: Penelitian ini merupakan penelitian potong lintang. Kriteria inklusi yaitu pasien yang terdiagnosis CVST melalui pemeriksaan digital substraction angiography (DSA) atau computed tomography angiography (CTA) atau magnetic resonance angiography (MRA) dan memiliki profil koagulasi serta dirawat di RSUP Dr. Hasan Sadikin, Bandung pada periode Januari 2018–Mei 2019. Kriteria eksklusi yaitu pasien yang disertai infeksi atau sepsis. Data diambil dari penelusuran rekam medis pasien dan dianalisis menggunakan korelasi Spearman. Signifikansi dinyatakan bila p<0,05.Hasil: Terdapat 40 pasien CVST yang memenuhi kriteria inklusi. CVST mayoritas terjadi pada perempuan (80%), rerata usia 40,75 tahun dengan keluhan utama tersering adalah nyeri kepala (70%). Terdapat 28 pasien memiliki kadar D-dimer yang meningkat (70%). Berdasarkan analisis, kadar D-dimer memiliki hubungan negatif dengan awitan gejala pasien (r=0,319, p= 0,045). Kadar D-dimer juga memiliki hubungan dengan lama perawatan (p=0,012).Diskusi: Kadar D-dimer pada penderita CVST cenderung lebih tinggi dari nilai normal. Kadar D-dimer memiliki hubungan dengan awitan gejala dan lama perawatan pasien CVST di rumah sakit.Kata kunci: Awitan gejala, cerebral venous sinus thrombosis, kadar D-dimer, lama perawatan

scholarly journals Cerebral Venous Sinus Thrombosis- A Study of 4 Cases

2017 ◽  
Vol 33 (1) ◽  
pp. 30-33
Author(s):  
Abdul Kader Sheikh ◽  
Rama Biswas ◽  
Anindita Roy ◽  
Sadiqa Tuqan ◽  
Mallika Sarker ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Clinical Presentation ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Focal Neurological Deficit ◽  
Venous Sinus Thrombosis ◽  
Aged Woman ◽  
Supportive Management ◽  
Variable Presentation

Cerebral venous sinus thrombosis is an uncommon but important cause of stroke, especially in young-aged woman. Clinical presentation is variable, usually in the form of focal neurological deficit, seizure, headache and other features of raised intracranial pressure, leading to misdiagnosis or delay in treatment. Here we report 4 cases of venous sinus thrombosis with variable presentation. Diagnosis is confirmed by neuroimaging including magnetic resonance imaging with magnetic resonance venography of brain. Treatment consists of anticoagulation along with supportive management. Bangladesh Journal of Neuroscience 2017; Vol.  33 (1): 30-33

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